Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $38.02 / $123.03	Facility	26	$19.05	$38.02	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $1,148.15	Professional		$147.91	$190.55	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $616.60	Professional		$151.36	$223.87	$616.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $616.60	Professional		$213.80	$281.84	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $537.03	Professional		$138.04	$234.42	$537.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $234.42 / $257.04	Professional		$77.62	$234.42	$257.04
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $22.39 / $25.12	Professional	26	$7.76	$22.39	$25.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $436.52	Professional		$177.83	$229.09	$436.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.30 / $47.86	Professional	26	$19.50	$26.30	$47.86
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,479.11	Professional		$1,174.90	$1,479.11	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $144.54 / $165.96	Professional		$23.99	$144.54	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $524.81	Professional		$138.04	$223.87	$524.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $218.78	Professional		$117.49	$190.55	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $537.03	Professional		$117.49	$194.98	$537.03